Care Transitions & Discharge Specialist

Prestera Health Services; Charleston (WV); On-site; USD 25,000 - 36,000; Full time

Job summary

Prestera Health Services in Charleston, WV seeks a discharge services coordinator to work with hospital staff to ensure smooth transitions, support community reintegration, and reduce avoidable ER visits.

The role involves conducting screenings, coordinating services, arranging transportation, and educating patients and families, with strong emphasis on documentation using EHR and scheduling systems.

Qualifications

• Equivalent of formal training in behavioral health, usually in Psychology, Social Work, Counseling, or Criminal Justice as part of a Bachelor’s Degree program.
• Maintains current knowledge of standards of care through continuing education.
• A valid state-issued driver’s license is required.

Responsibilities

• Screenings and brief assessments to identify needs and goals upon discharge.
• Review assessment information using WVHIN to assist discharge planning.
• Collaborates with families and treatment teams to confirm needed services.
• Attends treatment plan meetings for assigned individuals.
• Arranges and/or provides transportation for individuals served.
• Facilitates referrals to agency programs.
• Maintains documentation within program guidelines.
• Provides face-to-face contact with individuals and families.
• Educates individuals, families and hospital staff on needs, rights, and resources.
• Encourages a continuum of care to support ongoing success.

Skills

Discharge planning

Communication

Documentation

Education

Bachelor's degree in Psychology

Bachelor's degree in Social Work

Bachelor's degree in Counseling

Bachelor's degree in Criminal Justice

Tools

Microsoft Word

Microsoft Excel

PowerPoint

EHR systems

Scheduling systems

Job description

Prestera Health Services in Charleston, WV seeks a discharge services coordinator to work with hospital staff to ensure smooth transitions, support community reintegration, and reduce avoidable ER visits.

The role involves conducting screenings, coordinating services, arranging transportation, and educating patients and families, with strong emphasis on documentation using EHR and scheduling systems.